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HomeMy WebLinkAbout024-240-036 EHWL22-0031 WELL LOGState of California Well Completion Report Form DWR 188 Submitted 8/20/2024 WCR2024-007625 Owner's Well Number Date Work Began 06/04/2024 Date Work Ended 06/24/2024 Local Permit Agency Butte County Public Health Secondary Permit Agency Permit Number EHWL22-0031 Permit Date 12/19/2022 Well Location 0 Middle Honcut Address Gridley City 95948Zip ButteCounty 39 Latitude 20 19.7617 Deg.Min.Sec. N -121Longitude 35 22.8955 Deg.Min.Sec. W Dec. Lat. 39.3388227 Dec. Long. -121.5896932 Vertical Datum Horizontal Datum WGS84 Location Accuracy Location Determination Method 024-240-036APN 17 NTownship 03 ERange 12Section Mount DiabloBaseline Meridian 95Ground Surface Elevation Elevation Accuracy Elevation Determination Method Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 70 cobbles, gravel, sand 70 100 sand, black 100 110 clay 110 200 sand, little clay 200 280 sand 280 330 clay, green sand 330 370 sand 370 480 sand and fine rocks Well Owner (must remain confidential pursuant to Water Code 13752) Mohammad Aziz Name Mailing Address 1805 Indiana St Gridley City CAState 95948Zip Planned Use and Activity Planned Use Activity Water Supply Irrigation - Agriculture New Well Borehole Information Drilling Method Orientation Total Depth of Boring 480 Reverse Circulation Vertical 420 Total Depth of Completed Well Drilling Fluid Water Feet Feet Specify Water Level and Yield of Completed Well Depth to first water Depth to Static 47Water Level 1600Estimated Yield* 22Test Length *May not be representative of a well's long term yield. (Feet below surface) (Feet) (GPM) (Hours) Date Measured 06/17/2024 PumpTest Type Total Drawdown 29 (feet) Page 1 of 2 Form DWR 188 rev. 12/19/2017 Other Observations: Certification Statement I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief Name NOR - CAL PUMP & WELL DRILLING INC Person, Firm or Corporation 1325 BARRY ROAD YUBA CITY 95993CA Address City State Zip Signed electronic signature received C-57 Licensed Water Well Contractor 08/22/2024 Date Signed 908591 C-57 License Number DWR Use Only CSG #State Well Number Site Code Local Well Number N Latitude Deg/Min/Sec Longitude Deg/Min/Sec TRS: APN: W Borehole Specifications Depth from Surface Feet to Feet Borehole Diameter (inches) 0 480 26 Casings Casing # Depth from Surface Feet to Feet Casing Type Material Casings Specificatons Wall Thickness (inches) Outside Diameter (inches) Screen Type Slot Size if any (inches) Description 1 0 320 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 1 320 420 Screen Low Carbon Steel Grade: ASTM A53 0.25 16 Milled Slots 0.08 1 420 480 Blank Low Carbon Steel Grade: ASTM A53 0.25 16 2 0 40 Conductor or Fill Pipe Low Carbon Steel Grade: ASTM A53 0.154 2 Sch 40 Gravel Pipe Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 36 Cement 10.3 Sack Mix 36 480 Filter Pack Other Gravel Pack Birdseye Page 2 of 2 Form DWR 188 rev. 12/19/2017